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We understand the loss of a loved one is very stressful, and we’re here to help in any way we can. Protective Life believes that caring for beneficiaries is at the heart of our purpose as a company. We try to make this process as simple as possible for you. To notify Protective of a the loss of a loved one, you can also fill out this online form. During this process, please feel free to reach out at any time.

* INDICATES REQUIRED FIELD -- Please correct the errors noted below to complete submission.

Please select your state and company below so we can determine the appropriate form you need.

If there is more than one beneficiary, each beneficiary must select the appropriate form by resident state. If the beneficiary is a trust and the trustee lives in a state other than where the trust was created, please use the state of the trust. If the beneficiary is an estate and the administrator/personal representative of the estate lives in another state, please use the state where the estate is being probated.